MIDLAND OB-GYN ASSOCIATES, PC (NPI# 1083700280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083700280 |
| Entity Type | Organization |
| Organization Name | MIDLAND OB-GYN ASSOCIATES, PC |
| Practice Address |
419 W Wackerly St Midland MI 48640-2761 |
| Practice Telephone | 9896315721 |
| Practice Fax Number | 9896319919 |
| Mailing Telephone | 9896315721 |
| Mailing Fax Number | 9896319919 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | THOMAS W JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 9896315721 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 160E610010 | 01 |
| RAILROAD MEDICARE | CN2262 | 01 | |
| RAILROAD MEDICARE | CM7085 | 01 |
| Street Address |
419 W WACKERLY ST |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922189869 | Thomas William Johnson | Obstetrics & Gynecology | 419 W Wackerly St, Midland, MI 48640-2761 | 2006-10-18 |
| 1356437545 | Michelle Laforet Monticello | Obstetrics & Gynecology | 419 W Wackerly St, Midland, MI 48640-2761 | 2006-10-05 |
| 1750477022 | Margueritte Hope Kuhn | Obstetrics & Gynecology | 419 W Wackerly St, Midland, MI 48640-2761 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801241419 | Rebecca Lynn Morton | Obstetrics & Gynecology | 2500 W Illinois Ave Ste 100, Midland, TX 79701-6339 | 2016-05-02 |
| 1386061620 | Ayodele O. Olowookere, M.d., P.a | Obstetrics & Gynecology | 5317 Shady Bend Ct, Midland, TX 79707-1400 | 2014-03-25 |
| 1124343066 | Paula Reif Headbloom | Obstetrics & Gynecology | 3306 Thornbrook Ct, Midland, MI 48640-2374 | 2010-04-04 |
| 1124350442 | Ayodele O Olowookere | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy, Ste 281, Craddick Medical Office Building, Midland, TX 79701-5904 | 2010-02-11 |
| 1447459011 | Kym C Gohn | Obstetrics & Gynecology | 3016 W. Wackerly St., Midland, MI 48640-6960 | 2007-07-13 |
| 1568582443 | Ayodeji Oluwatosin Joshua | Obstetrics & Gynecology | 4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640-6126 | 2007-04-02 |
| 1962562579 | Leslie E Chupp | Obstetrics & Gynecology | 1211 W Illinois Ave, Midland, TX 79701-6158 | 2006-12-12 |
| 1306906177 | David Allen Junge | Obstetrics & Gynecology | 4009 Orchard Drive, Suite #3025, Midland, MI 48640-6111 | 2006-12-11 |
| 1720198005 | Lydia Watson | Obstetrics & Gynecology | 2600 Mccandless Dr, Midland, MI 48640-6103 | 2006-08-30 |
| 1386757136 | Gary D Madden | Obstetrics & Gynecology | 2500 W Illinois Ave, Suite 100, Midland, TX 79701-6339 | 2006-08-16 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.